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Montana rates for HCPCS B4083

Stomach tube - Levine type

Facilitymedian $3 · 10th–90th $2–$30%20%40%10th90th$3Professionalmedian $1 · 10th–90th $1–$90%50%90th$1$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $8.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $2.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $2.82
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $3.39 / $3.47
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $3.39 / $3.47
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $2.82
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.82 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $3.02 / $3.98